HomeMy WebLinkAbout0117226-HVAC (furnace & a/c)
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OSHKOSH
ON THE WATER
Job Address 1232 HARNEY AVE
CITY OF OSHKOSH
No
117226
HVAC PERMIT - APPLICATION AND RECORD
Owner
JOHN H REIGH
Create Date 11/10/2005
Plan
Contractor PREMIUM AIR INC
1"'1 Gas 1 1 Oil
Fuel
System n New I
~ Forced Air U Radiant
1 1 Electric 1 1 HotWater
ChimneyType K) Chimney A () Chimney B
Heat Loss K ) As Approved . Existing
BTU Rate K) As Per Pian ( ) Variable
Category 502 - Residential-Both
1"'1 Electric
1 1 Solar
I 1 Solid
P1 Repiace
U Steam
1 I Suppl.
. Direct Vent
n Other
U AlC 1 U Vent
1 1 Can. Burner I
( ) Not Applicable
( ) Not Appllcabie
. Other
Value
Value
Use/Nature ßFRI Repalce furnace and AlC, install 3" chimney liner, EIV provided by Premium Air Inc.
olWork
Fees: Valuation
$5,000.00
Plan Approval
$0.00
Permit Fee Paid
$80.00
Issued By:
Date 11/10/2005
D Permit Voided I
Parcelld # 0804890000
In the performance of this work, I agree to perform all work pursuant to rules 90verning the described construction.
While the City of Oshkosh has no authority to enlorce easement restrictions 01 which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
AgenVOwner
Address
N3225 HWY 15
HORTONVILLE
WI 54944-0
Telephone Number
920-982-3323
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
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OQ!Q£H
City of Oshkosh
Division of lnsp"tion SOtVim
215 Chureh Avon'"
PO Bo' t 130
Oshkosh WI 54903-JI30
Office 920-236-5050
F" 920-236-5084
Nav 0 1 2005
Electric Installation Verification
I (We)
"P....R..IT\,'...,-h 'Acw I nc..- - On-G ~~
, (Electrical Contractor Name)
':611..,5 r:"V'.f.RV1 \1eJJJ J~
(Address)
Ro(
o-.~?--..
(City)
LV,
(State)
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(Zip Code)
have been contracted to perform electric installation work for doh h 'Be-lor h.
(Name ofpartylcontracted to)
at the following address:
1~~2
kt-aA""'t ~,
(Address here work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
--X- (i;conn~r new circuit for replacement Heating Plant and/or A/C Condenser.
- ReconnectJon or new circuit for replacement Electric Water Heater or power vented
water heater.
- Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
- Reconnection or new circuit for the replacement of other permanently wired
appliances / fixtures.
- New circuit for the addition of AlC to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
II¡
T~e value of this work is $ "5,nGf).æxJ Î"-c..jç~...... ,\)Lle':v
" I hereby verify this work will be performed by an employee of this company and further verify
the reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
(Print Name of Officer)
(Date)
5/02